A 55-Year-Old Woman Is Brought to the Office by Her

A 55-year-old woman is brought to the office by her husband for evaluation of strange behavior.  She has been spending large amounts of money to buy expensive clothes and jewelry.  The patient has also offered sex to unknown men in the neighborhood and has become increasingly indifferent toward her family, about whom she used to care deeply.  She usually drinks 1 or 2 glasses of wine on weekends but lately has been drinking 2 or 3 glasses almost every day.  When asked about these changes during the interview, the patient states that she has not noticed any change in her behavior.  Vital signs are normal.  The general physical and neurologic examinations are normal. This patient most likely has a condition that predominantly involves which of the following structures?

A) Anterior temporal and prefrontal cortices
B) Caudate nucleus and putamen
C) Locus ceruleus and substantia nigra
D) Mammillary bodies and medial thalamus
E) Medial temporal and parietal cortices
F) Parietal and occipital cortices

Correct Answer:

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